Active NPI
Marcus Zachariah, M.D., PH.D.
- Neurological Surgery Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 35135874
- Practice address
- 3750 Convoy St Ste 301
San Diego, CA 92111-3741 - Phone
- (619) 297-4481
- Fax
- (858) 429-7666
- NPI assigned
- Jun 27, 2012
- Last updated
- Nov 23, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 35135874 | OH | Primary |
Addresses
Primary practice location
3750 Convoy St Ste 301
San Diego, CA 92111-3741
Mailing address
3750 Convoy St Ste 301
San Diego, CA 92111-3741
Phone (619) 297-4481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0401107 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of California, San Francisco School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3750 Convoy St
Suite 301
San Diego, CA 92111-3741
Phone (619) 297-4481
7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 141 |
| Laminectomy or laminotomy (partial removal of spine bones) | 28 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35135874 | OH | MD | Neurological Surgery Physician |
| 251899 | MA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency and Acute Care Medical Corporation | Current | Accepting new patients | |
| Neurosurgical Medical Clinic, Inc, | Neurological Surgery | Current | Accepting new patients |
| On Call Specialists Medical Group of San Diego, Inc. | Current | Accepting new patients | |
| Duke Health Lake Norman Regional Medical Center, Inc. | Past | Accepting new patients | |
| Trias Global, LLC | Past | Accepting new patients |
Locations
751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
5565 Grossmont Center Dr
Ste 210
La Mesa, CA 91942
Phone (619) 461-3150
3750 Convoy St
Ste 201
San Diego, CA 92111
Phone (858) 278-8031
3750 Convoy St
Ste 301
San Diego, CA 92111
Phone (858) 309-7702
4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245
7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400
650 E Devon Ave
Ste 165
Itasca, IL 60143
Phone (630) 285-1040
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mzachariah34590@sharphealthcare.direct-ci.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
-
- Neurological Surgery Physician
- San Diego, CA
- NPI 1881709673
-
- Specialist
- San Diego, CA
- NPI 1962175836
-
- Orthopaedic Surgery of the Spine Physician
- Newport Beach, CA
- NPI 1518433457
-
dba Duke Health Lake Norman Hospital
- General Acute Care Hospital
- Mooresville, NC
- NPI 1114731064
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1407839921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1477817187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 301",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113741",
"telephone_number": "619-297-4481",
"fax_number": "858-429-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 CONVOY ST STE 301",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113741",
"telephone_number": "619-297-4481",
"fax_number": "858-429-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARIAH",
"first_name": "MARCUS",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OH",
"license": "35135874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0401107",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
- Aleksandra Janina Zabrocki, M.D.
- Luke Anthony Zabrocki, MD
- Amy F Zabrowski
- Gabby Zaccheo
- Zoe Hope Zacharakis
- Zachary C Cohen MD Apc (California Pain Consultants)
- Zachary C Cohen MD Apc (California Pain Consultants)
- Zachary C Cohen MD Apc (California Pain Consultants)
- Ashley Zachery-Savella
- Alison Dara Zachry, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.